Individual provider Active NPI

Savannah E Howard, LCSW

  • Clinical Social Worker
  • Tempe, AZ
National Provider Identifier
1912690116
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22443 Issued in AZ
Practice address
4801 S Lakeshore Dr Ste 204
Tempe, AZ 85282-7157
Phone
(480) 256-9299
NPI assigned
Jun 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LCSW-22443 AZ
Clinical Social Worker 1041C0700X LCSW-22443 AZ Primary

Addresses

Primary practice location

4801 S Lakeshore Dr Ste 204
Tempe, AZ 85282-7157

Mailing address

15645 N 35TH Ave Apt 345
Phoenix, AZ 85053-7629
Phone (619) 947-8528

Other names 1

  • Savannah E Bushman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-22443AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Health and Wellbeing LLC Clinical CurrentSince Aug 18, 2024 Accepting new patients

Locations

4801 S Lakeshore Dr
Ste 202
Tempe, AZ 85282

4801 S Lakeshore Dr
Ste 204
Tempe, AZ 85282
Phone (480) 256-9299

Interoperability endpoints

  • Direct secure messaging: rachel.scott.1@17324.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1912690116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15645 N 35TH AVE APT 345",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850537629",
            "telephone_number": "619-947-8528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 S LAKESHORE DR STE 204",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827157",
            "telephone_number": "480-256-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "SAVANNAH",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LCSW-22443",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-22443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "BUSHMAN",
            "middle_name": "E",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.